The Intern At Work: Internal Medicine cover image

The Intern At Work: Internal Medicine

180. The Crimson Cough - A practical approach to hemoptysis

Jan 29, 2023
13:53

Podcast summary created with Snipd AI

Quick takeaways

  • Life-threatening hemoptysis requires immediate stabilization, airway protection, resuscitation, and post-stabilization etiology identification.
  • Assessing non-life-threatening hemoptysis involves a comprehensive differential diagnosis focusing on sputum characteristics, constitutional symptoms, and risk factors.

Deep dives

Understanding Hemoptysis and Its Causes

Hemoptysis, the expectoration of blood from the lower respiratory tract, can vary from blood-streaked sputum to frank blood, with causes ranging from infectious, pulmonary, neoplastic, vasculitic, vascular, traumatic, coagulopathic to miscellaneous. Infections like bacterial or viral pneumonias, neoplastic conditions such as lung cancers, and diffuse alveolar hemorrhage from systemic diseases are significant contributors to hemoptysis. Vascular causes like pulmonary emboli or arteriovenous malformations, traumas, or coagulation disorders can also lead to this condition.

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